Angiotensin Receptor Blockers – Losartan

Generic Name

losartan, including in combination with hydrochlorothiazide

Strength

25 mg, 50 mg, 100 mg, 50 mg/12.5 mg, 100 mg/12.5 mg, 100 mg/25 mg
Form tablet

Criteria

Approval Period

Person identified as experiencing intractable cough or angioedema on an Angiotensin Converting Enzyme Inhibitor (ACE-I).

Indefinite

Practitioner Exemptions

  • No practitioner exemptions

Special Notes

  • Individuals requiring a diuretic combination product must satisfy the same criteria.

Special Authority Request Form(s)